A 5-Year History of Laparoscopic Gastric Band Removals: an Analysis of Complications and Associated Comorbidities
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This study was undertaken to examine the factors contributing to laparoscopic adjustable gastric band (LAGB) removals among adults > 18 years of age. We hypothesized that female patients with multiple comorbidities would have increased removals.
This retrospective exploratory study uses internal records and standard statistical methods of analysis.
Eighty-five bands were removed (11.8% males, 88.2% females). The average BMI was 40.7 (n = 83). 2.4% of patients had removals between 0 and 12 months, 18.8% between 39 and 51 months, and 35.3% between 39 and 64 months. 8.2% of treatment times were unknown. The average treatment time was 67.9 months. 48.2% of patients had ≥ 2 comorbidities, GERD (44.2%) being the most frequent. 49.4% of patients reported dysphagia as the reason for band removal. 22.4% of removals were associated with band failures, none with port complications. The reason for band removal was unknown in 21.2% of patients. 67.1%, 32.9%, and 23.5% attended 30-, 60-, and 90-day follow-up appointments, respectively. Weight post-band removal surgery at 30, 60, and 90 days was noted to be − 0.4%., 0.9%, and 0.4%, respectively.
This study supports current literature suggesting LAGB may not be an effective long-term surgical intervention for obesity. Patients with > 2 comorbidities had increased rates of removal. Dysphagia was noted to be the primary reason cited for LAGB removal. Postoperative follow-up was found to be a significant challenge for LAGB removal patients. Further study is warranted to explore if these poor follow-up rates should be considered when risk stratifying LAGB patients for revisional surgery.
KeywordsGastric band Removals
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
For this type of study, formal consent was not required.
Informed consent was obtained from all individual participants included in the study.
- 1.Adult obesity facts [Internet]. Atlanta: Center for Disease Control and Prevention, Division of Nutrition, Physical Activity, and Obesity; c2015 [cited 2015 Nov 2]. Available from: http://www.cdc.gov/obesity/data/adult.html
- 2.Leading causes of death. [Internet]. Atlanta: Center for Disease Control and Prevention, National Center for Health Statistics; c2015 [cited 2015 Nov 2]. Available from: http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
- 3.SEER Stat Fact Sheets. [Internet]. Bethesda: Nation Cancer Institute, Surveillance, Epidemiology, and End Results Program [cited 2015 Nov 2]. Available from: http://seer.cancer.gov/statfacts/html/all.html
- 4.Obesity and cancer risk. [Internet]. Bethesda: National Cancer Institute [cited 2015 Nov 2]. Available from: http://www.cancer.gov/aboutcancer/causesprevention/risk/obesity/obesity-fact-sheet
- 5.Estimate of bariatric surgery numbers, 2001–2016. [Internet]. Gainsville: American Society for Metabolic and Bariatric Surgery; c2016 [cited 2016 June 28]. Available from: https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers
- 13.Nguyen NT, Kim E, Vu S, et al. Ten-year outcomes of a prospective randomized trial of laparoscopic gastric bypass versus laparoscopic gastric banding. Ann Surg. 2017;20(20):1–8.Google Scholar